照顧一位三度房室傳導阻斷病患裝置心律調節器的護理經驗

Nursing Experience with a Third-Degree Atrioventricular Block Patient Who Received Permanent Pacemaker Implantation

梁啓娟(Chi-Chaun Liang)

《志為護理-慈濟護理雜誌》 7卷6期 (2008/12) Pp. 121-128

https://doi.org/10.6974/TCNJ.200812.0121

摘要

本文描述一位76歲的三度房室傳導阻斷病患，在接受心律調節器(permanent pacemaker, PPM)植入後的照護問題。護理期間為95.3.16~95.3.21，筆者以戈登(Gordon)十一項功能性健康型態為評估工具，確立了個案有活動無耐力、焦慮、特定知識不足等問題。護理過程中，運用傾聽、關懷、人性化等護理技巧提供個案治療及支持，與個案及家屬建立了好的治療性人際關係，指導個案永久性心律調節器的居家照護重要注意事項及方法，緩解個案、家屬生理上的不適和內心的焦慮，也讓個案及家屬瞭解了整個的治療過程及後續的自我照顧計劃及工作。

關鍵字

三度房室傳導阻斷 ； 心律調節器 ； 居家照護

並列摘要

This article presents a 76-year-old, third-degree atrioventricular block patient who received permanent pacemaker (PPM) implantation. Nursing care was instituted from March 16(superscript th), 2006 to March 21(superscript st), 2006. The author used Gordon 11-item functional health pattern as a guide to identify and assess patient's problems, such as activity intolerance, anxiety, and knowledge deficit. During the nursing process, the author provided treatment and support to the patient through listening, caring, and humanistic nursing skills; established good relationship with the patient and the family; gave the patient the instructions of home care for PPM; relieved the patient's and his family's physical discomfort and anxiety; and also let the patient and his family understand the whole treatment process and the follow-up self-care plan and work.

並列關鍵字

third-degree atrioventricular block ； permanent pacemaher PPM ； home care